White, Susan Deborah
White, Susan Deborah is an sole proprietor health care provider with primary practice located at 3060 Mitchellville Rd Suite 104, Bowie MD 20716-1389. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. White, Susan Deborah can be contacted via phone (240) 475-2221.Contact Information
Primary practice address
3060 Mitchellville Rd Suite 104
Bowie MD 20716-1389
Phone: (240) 475-2221
Fax: (301) 384-8876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LC0769 | Maryland |
Profile Details
| NPI number | 1689626640 |
|---|---|
| LBN Legal business name | White, Susan Deborah |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 17th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689626640 | NPPES |
| Maryland | Other | 562760 | MAMSI/UNITED HEALTHCARE |
| Maryland | Other | 2178897 | MAMSI/UNITED HEALTHCARE |
| Maryland | Other | 2178897 | MAMSI/UNITED HEALTHCARE |
| Maryland | Other | 514031 | MAMSI/UNITED HEALTHCARE |
| Maryland | Other | GQ40CO | MAMSI/UNITED HEALTHCARE |
| Maryland | Other | 61672002 | MAMSI/UNITED HEALTHCARE |
| Maryland | Other | M3280003 | MAMSI/UNITED HEALTHCARE |
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